Loading employer…
Employer
5901 Market Street, Philadelphia, PA 19139 · EIN 23-1413304 · Apr 1, 2024 to Mar 31, 2025
Plan year 2024
View
Schedule A
Coverage contracts on the filing. If the carrier did not provide Schedule A, the row is listed with that note.
Visible subtotal $285,747
| Coverage | Carrier | Broker | Lives | Direct comp |
|---|---|---|---|---|
| Medical | Amerihealth Insurance Company | Emerson Rogers LLC | 7 | $847 1.8% of $47,645 |
| Medical | Amerihealth Insurance Company | Benefitmall.Com/Centerstone | 7 | $-429 -0.9% of $47,645 |
| Medical | Independence Blue Cross | Emerson Rogers LLC | 512 | $140,832 2.7% of $5,237,561 |
| Medical | Independence Blue Cross | Benefitmall.Com/Centerstone | 512 | $429 0.0% of $5,237,561 |
| Medical | Independence Blue Cross | Emerson Rogers LLC | 117 | $96,429 7.7% of $1,248,687 |
| Medical | Independence Blue Cross | Benefitmall.Com/Centerstone | 117 | Comp not disclosed Premium $1,248,687 |
| Dental | The Guardian Life Insurance Company Of America | — | — | Schedule A not provided |
| Dental | The Guardian Life Insurance Company Of America | — | — | Schedule A not provided |
| Life | The Lincoln National Life Insurance Company | Brown & Brown Ins Services | 688 | $3,043 9.4% of $32,527 |
| Life | The Lincoln National Life Insurance Company | Brown & Brown Of Pennsylvania | 688 | $1,837 5.6% of $32,527 |
| AD&D | The Lincoln National Life Insurance Company | Brown & Brown Ins Services | 286 | $573 9.4% of $6,067 |
| AD&D | The Lincoln National Life Insurance Company | Brown & Brown Of Pennsylvania | 286 | $337 5.6% of $6,067 |
| Accident | The Lincoln National Life Insurance Company | Brown & Brown Ins Services | 125 | $3,402 22.4% of $15,201 |
| Accident | The Lincoln National Life Insurance Company | Ultimate Software Group Inc | 125 | $408 2.7% of $15,201 |
| Critical Illness | The Lincoln National Life Insurance Company | Brown & Brown Ins Services | 122 | $6,125 22.3% of $27,434 |
| Critical Illness | The Lincoln National Life Insurance Company | Ultimate Software Group | 122 | $735 2.7% of $27,434 |
| Hospital | The Lincoln National Life Insurance Company | Brown & Brown Ins Services | 143 | $5,274 22.4% of $23,567 |
| Hospital | The Lincoln National Life Insurance Company | Ultimate Software Group | 143 | $633 2.7% of $23,567 |
| Prepaid Legal | Countrywide Enterprises, Inc | — | 65 | Schedule A not provided |
| Prepaid Legal | Countrywide Enterprises, Inc | — | 65 | Schedule A not provided |
| Other | The Lincoln National Life Insurance Company | Brown & Brown Ins Services | 609 | $9,018 9.3% of $97,008 |
| Other | The Lincoln National Life Insurance Company | Brown & Brown Of Pennsylvania | 609 | $5,533 5.7% of $97,008 |
| Vol Child Life, Vol Spouse Life, Vol Life | The Lincoln National Life Insurance Company | Brown & Brown Ins Services | 291 | $5,567 9.5% of $58,445 |
| Vol Child Life, Vol Spouse Life, Vol Life | The Lincoln National Life Insurance Company | Brown & Brown Of Pennsylvania | 291 | $3,200 5.5% of $58,445 |
Schedule C
Plan-paid amounts to each named party on the filing, with the role they reported. This is not a carrier commission and is not added to Schedule A.
No Schedule C parties in this year.